| NPI | 1336133271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA730) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 003890) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2024-01-18 |