| NPI | 1770609992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CO APN.0994561-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 111856) |
| 208600000X Surgery (Licence: CO APN.0994561-NP) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-07-11 |