| NPI | 1013516400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL Pending) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 75000064A) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2024-11-12 |