| NPI | 1629675475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007433) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0110007433) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2024-09-13 |