| NPI | 1437660214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 8514) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 8514) |
| 207L00000X Anesthesiology (Licence: GA 28631) | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2025-08-26 |