| NPI | 1023492816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000543) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: DC AA000058) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2025-04-25 |