| NPI | 1548786544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NM AA2017-002) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM AA2017-002) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2023-11-21 |