| NPI | 1013652221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 32698117) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OK 39) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2023-05-07 |