| NPI | 1508066788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 5136) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2025-01-22 |