| NPI | 1578726055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 004425) |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2008-07-06 |