| NPI | 1053308601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA116) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 3357) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2025-07-17 |