| NPI | 1871987479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000462) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: WI 57-17) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2024-05-02 |