| NPI | 1265146351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000204) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: WI 597-17) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2025-12-22 |