NPI | 1902035629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 1041) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL 1041) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2020-08-27 |