NPI | 1104480409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA527) |
Enumeration Date | 2019-04-23 |
Last Update Date | 2024-10-02 |