| NPI | 1386262533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000157A) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: TX 32697807) |
| 367H00000X Anesthesiologist Assistant (Licence: SC 108) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2024-11-22 |