| NPI | 1295874535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: WI 565-17) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 003693) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2025-04-15 |