| NPI | 1578043261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 10271) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL 27157965) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2021-09-17 |