NPI | 1548751530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA578) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NM AA2018-005) |
Enumeration Date | 2018-05-24 |
Last Update Date | 2023-12-29 |