NPI | 1528694148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OK 30) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000163) | |
Enumeration Date | 2020-03-15 |
Last Update Date | 2022-01-18 |