| NPI | 1497183743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OK 14) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NM AA2013-004) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2019-12-08 |