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 |