| NPI | 1568738409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 006375) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 6375) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2014-12-10 |