| NPI | 1184011173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL 261) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-09-06 |