| NPI | 1225224843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NC 1000-00338) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 5171) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2015-10-07 |