| NPI | 1669004461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 32697618) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 32697618) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-06-11 |