| NPI | 1104466911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000145A) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: WI AA144) |
| 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000222) | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2023-10-12 |