| NPI | 1215987995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67000035) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: PW 67000035) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-04-27 |