| NPI | 1699850099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000145) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 004376) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-05-03 |