| NPI | 1043760358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: WI 113) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 69400) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2020-01-14 |