| NPI | 1932642444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000107) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 008194) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2019-02-27 |