| NPI | 1083967806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: MO 2025052192) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA 132) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2026-02-10 |