| NPI | 1255131777 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 789790576) | 
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant | 
| Enumeration Date | 2025-03-14 | 
| Last Update Date | 2025-09-08 |