| NPI | 1275896094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000006) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 006461) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2013-07-18 |