| NPI | 1770725038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: MO 2014005395) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 005674) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2017-02-10 |