| NPI | 1184808040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 5190) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: DC AA000018) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2021-08-02 |