| NPI | 1023161338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 004178) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-08-08 |