| NPI | 1619089299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL AA454) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 2338) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-02-06 |