| NPI | 1548700370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0993926-CRNA) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN01367) |
| 363L00000X Nurse Practitioner (Licence: MA RN245825) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2018-07-12 |