| NPI | 1699731075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000127) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| 363A00000X Physician Assistant (Licence: GA 004368) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-04-17 |