NPI | 1871675496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 004023) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 004023) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2016-10-05 |