NPI | 1376220335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 12544) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-06-30 |
Last Update Date | 2025-08-27 |