| NPI | 1881095701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NC 1798) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA230) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2016-10-06 |