| NPI | 1124027016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000060A) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 67000023) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-06-09 |