| NPI | 1144555384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 5663) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: SC 34) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2023-10-17 |