| NPI | 1437982063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA974) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL 789790295) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2025-10-22 |