| NPI | 1386697324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: SC 107) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 004207) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-05-11 |