| NPI | 1750562732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: VT AAA-0000018) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2018-03-17 |