| NPI | 1144635327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000068) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NM AA2014-004) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2019-01-24 |