| 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 |