| NPI | 1033749403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000133) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 75000052A) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2021-03-18 |