| NPI | 1235532094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: SC 104) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA244) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2023-01-06 |