| NPI | 1083123152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 008530) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 8530) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2024-02-21 |