| NPI | 1053715607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 007357) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA727) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2023-11-21 |