| NPI | 1588331177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000228) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NM AA2021-001) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2023-12-15 |