| NPI | 1417213992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 6391) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 006391) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2023-01-23 |