| NPI | 1639640550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0995473) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN637357) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 125015) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-04-16 |