| NPI | 1821224858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NC 200000010) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MO 2009030827) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2022-10-25 |