| NPI | 1205662830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX 789790351) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-16 |