| NPI | 1770061046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 9007) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-10-23 |