| NPI | 1598441537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000227) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX 789789869) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-01-09 |