| 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 |