| NPI | 1669461950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 11784) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: SC 6) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2026-08-03 |