| NPI | 1326658337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 056603863) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: SC 115) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2023-08-14 |