| NPI | 1235381625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 5453) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 005453) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2023-02-16 |