| NPI | 1356724959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NM AA2022-003) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000249) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2025-06-19 |