| NPI | 1306373238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: VT 135.0000080) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 75000061A) |
| 367H00000X Anesthesiologist Assistant (Licence: DC AA000086) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2023-09-14 |