| NPI | 1801996038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 762) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 67000122) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-07-23 |