| NPI | 1164970067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA449) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 8106) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2025-02-10 |