| NPI | 1053010736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA1184) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2026-01-16 |