| NPI | 1265157291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA779) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 75000161A) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2024-02-26 |