| NPI | 1326661620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 32697623) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 32697623) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2025-04-28 |