| NPI | 1487024402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 7784) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 3043) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2022-12-08 |