| NPI | 1750592663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NC 527) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: DC AA000001) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-09-25 |