| NPI | 1366970477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000258) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: DC AA000088) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2024-09-18 |