| NPI | 1568628808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000148) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 005056) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2009-05-07 |