| NPI | 1124963640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 789791039) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: TX 39965473) |
| Enumeration Date | 2026-04-21 |
| Last Update Date | 2026-05-29 |