| NPI | 1710497300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000548) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA423) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2025-07-09 |