| NPI | 1689662868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO CRA-4143) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 20052.0746) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2013-06-07 |