| NPI | 1821371709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000038) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA106) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2019-08-19 |