| NPI | 1316440480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000411) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2021-12-27 |