| NPI | 1356968853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000333) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: DC AA000130) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2026-06-15 |