| NPI | 1003226770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67000263) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: TX 1683) |
| 367H00000X Anesthesiologist Assistant (Licence: IN 75000010A) | |
| Enumeration Date | 2014-05-04 |
| Last Update Date | 2017-02-10 |