| NPI | 1124694872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA654) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 32697918) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2022-12-01 |