| NPI | 1457737033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 7728) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 7728) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2023-03-23 |