| NPI | 1265924914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 26227341) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 26227341) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-08-30 |