| NPI | 1558378513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA582) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 005025) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-01-26 |