| NPI | 1760898209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 54740) |
| 367H00000X Anesthesiologist Assistant (Licence: GA 8944) | |
| 367H00000X Anesthesiologist Assistant (Licence: OH 67000365) | |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2021-11-08 |