| NPI | 1104588839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 10618) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 10618) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2026-06-16 |