| NPI | 1447098512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA1023) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL AA1023) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-10-29 |