| NPI | 1629716758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: MI 32698139) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| 367H00000X Anesthesiologist Assistant (Licence: OH 67.000441) | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2024-10-02 |