| NPI | 1992761795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA503) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NC 1000-00588) |
| 367H00000X Anesthesiologist Assistant (Licence: GA 004228) | |
| 367H00000X Anesthesiologist Assistant (Licence: MO 2013016094) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2021-06-16 |