| NPI | 1164758090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 005714) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 1964) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2011-01-12 |