| NPI | 1134889785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 11408) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 32698356) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2023-02-08 |