| NPI | 1184736613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 003010) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: VT AAA0000001) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-02-13 |