| NPI | 1609605021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: WI 555) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NV AA09) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-12-16 |