| NPI | 1316815830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 13453) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 13453) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2026-04-22 |