| NPI | 1265771786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA398) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: SC TL29) |
| 207L00000X Anesthesiology (Licence: FL AA398) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2019-06-11 |