| NPI | 1487000477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2018-02895) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD-16365) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 310874) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2023-07-07 |