| NPI | 1689774150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 436) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: DC AA000004) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-11-29 |