| NPI | 1013562883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 9537) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: WI 620-17) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2026-05-04 |