| NPI | 1073775938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 890) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 890) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2020-08-06 |