| NPI | 1003330689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: DC AA000103) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000310) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2018-09-15 |