| NPI | 1326455288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 1678) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 1678) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2019-01-11 |