| NPI | 1588181549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: WI 632) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 22356837) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2026-07-09 |