| NPI | 1457739880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 1997) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: 1997) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2023-06-12 |