| NPI | 1316675051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA738) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 75000196A) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-11-14 |