| NPI | 1790749604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO RXA-100001) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CO APN.0015078-CRNA) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2019-12-17 |