| NPI | 1225657711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OK 29) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2024-05-31 |