| NPI | 1881884062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA505) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000136) |
| 367H00000X Anesthesiologist Assistant (Licence: GA 1559) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2025-06-11 |