| NPI | 1174337414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000299) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000534) |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-09-30 |