| NPI | 1366077950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA843) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH 20-111799) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2023-10-15 |