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 |