| NPI | 1104973403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 004393) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM AA2009-001) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2024-01-24 |