| NPI | 1396819363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 007263) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ch8781) |
| 367H00000X Anesthesiologist Assistant (Licence: OK 9) | |
| 367H00000X Anesthesiologist Assistant (Licence: MO 2012018775) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2014-10-07 |