| NPI | 1346071032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14443) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 001014443) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-15 |