| NPI | 1225226913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000269) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: SC 24) |
| 367H00000X Anesthesiologist Assistant (Licence: GA 005197) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2022-10-11 |