| NPI | 1093782690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NC 1000-00199) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 67-000034) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2016-09-26 |