| NPI | 1164148243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 12760) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA785) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2024-12-09 |