| NPI | 1518371632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA1099) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 22109) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2025-09-26 |