| NPI | 1861868523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NC 1000-00935) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA277) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2020-09-29 |