| NPI | 1780195172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: MI 0022405557) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000311) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2024-09-19 |