| NPI | 1730313354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NC 1000-00571) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 005658) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2015-08-06 |