| NPI | 1760063143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO C-APN.0003248-C-CRNA) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 317707) |
| Enumeration Date | 2021-04-18 |
| Last Update Date | 2021-09-07 |