| NPI | 1669757688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 6283) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 006283) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2023-01-30 |