| NPI | 1619222171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2014-10-15 |