| NPI | 1750681342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 005904) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 5904) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2016-07-26 |