| NPI | 1164965349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 8217) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: SC 92) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2024-05-07 |