| NPI | 1669135950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA683) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 12508) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2025-03-27 |