| NPI | 1558048504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 12011) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH031556) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2024-09-13 |