| NPI | 1184811416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA 377) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: DC AA000009) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2018-08-24 |