| NPI | 1871914853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000425) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: TX 1674) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2022-02-11 |