| NPI | 1235775800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: SC 131) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 7500057A) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-09-19 |