| NPI | 1447628201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 2003) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 8879) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2023-08-03 |