| NPI | 1265517601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000008A) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 003351) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-01-08 |