| NPI | 1093251738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000389) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MO 2017017736) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2024-04-02 |