| NPI | 1386790350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 665) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 665) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-12 |