| NPI | 1518301365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 1520) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA161) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2020-08-20 |