| NPI | 1003998881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 4954) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 1477) |
| 367H00000X Anesthesiologist Assistant (Licence: GA 004954) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-12-23 |