| NPI | 1275925109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA392) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NC 1000-00587) |
| 367H00000X Anesthesiologist Assistant (Licence: 1870) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2021-02-12 |