NPI | 1932128360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 003723) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 003723) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2010-10-04 |