| NPI | 1801167242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 008124) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA112) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2017-01-15 |