| NPI | 1689076978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NC 1000-00658) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NM AA2014-010) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2021-11-19 |