| NPI | 1922081330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 002716) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 002716) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2014-02-07 |