NPI | 1053046177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA802) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MO pending) |
Enumeration Date | 2022-07-21 |
Last Update Date | 2023-03-27 |