| NPI | 1518324060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 159778) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 159778) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |