NPI | 1356724959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NM AA2022-003) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000249) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2024-08-06 |