| NPI | 1326654138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX AA624) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 72019155) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2024-10-07 |