| NPI | 1265846356 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: DC AA000074) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC AA000074) | 
| Enumeration Date | 2014-06-17 | 
| Last Update Date | 2018-07-02 |