| NPI | 1356847867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 24570609) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MO 2018017251) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2020-05-06 |