NPI | 1578171823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA622) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL NA) |
Enumeration Date | 2020-07-22 |
Last Update Date | 2025-06-05 |