| 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 |