| NPI | 1982713996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO CRA-100038) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 1387179021) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-03-06 |