| NPI | 1154571289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 005404) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 5404) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2014-05-06 |