| NPI | 1487998662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 7424) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NM AA 2013-002) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2022-10-24 |