NPI | 1609804608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: VT 135.0000012) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NC 1000-00582) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2016-07-22 |