| NPI | 1043544646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 005643) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 1898) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2014-04-29 |