| NPI | 1104109909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 1203) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NC 1203) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2018-06-05 |