| NPI | 1194557793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA978) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL Pending) |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-10-14 |