| NPI | 1235618042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA473) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: SC 120) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2023-08-23 |