| NPI | 1629398177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CT 004409) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 082127) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2022-01-03 |