| NPI | 1730555442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA638) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: WI 66-17) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2021-04-22 |