| NPI | 1154318285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: AL AA-831) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 2569) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-07-08 |