| NPI | 1548751530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 12497) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA578) |
| 367H00000X Anesthesiologist Assistant (Licence: NM AA2018-005) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-08-21 |