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 |