| NPI | 1558983387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OK 33) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: TX 32697759) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2025-12-10 |