| NPI | 1417779638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: WI 574-17) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 19041-40) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-01-13 |