| NPI | 1215431341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 24570600) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MO 2018029050) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2019-03-06 |