| NPI | 1033787254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 789790237) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 789790237) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2024-08-28 |