| NPI | 1922316124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA61) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL AA61) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2016-07-22 |