| NPI | 1083198014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 27111431) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA471) |
| Enumeration Date | 2018-09-15 |
| Last Update Date | 2021-10-15 |