| NPI | 1972863553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 0119439) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2266558) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2014-10-24 |