| NPI | 1700290152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: SC 65) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 7190) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2019-06-27 |