| NPI | 1811177660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: DC A000051) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 005218) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2018-12-31 |