| NPI | 1245774983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NM AA2018-002) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 8220) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2023-07-17 |