| NPI | 1053980748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000412) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2024-01-24 |