| NPI | 1447694997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000090) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NC 1000-00664) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2018-12-04 |