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 |