| NPI | 1649618166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: WA AA70072811) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: CO 0000000) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2026-03-11 |