| NPI | 1043446040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000185) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NC 10000-00231) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2013-06-04 |