| NPI | 1548778392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL 567) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: Pending) |
| 367H00000X Anesthesiologist Assistant (Licence: GA 8774) | |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2024-01-11 |