| NPI | 1548814791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 28512813) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 75000139A) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2026-07-02 |