| NPI | 1578814067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA822) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: TX 1424) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2026-07-14 |