NPI | 1285263434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 32697632) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 75000211A) |
Enumeration Date | 2020-04-08 |
Last Update Date | 2025-03-10 |