| NPI | 1538717616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 00000000000) |
| Enumeration Date | 2019-08-31 |
| Last Update Date | 2023-03-17 |