| NPI | 1669878971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA441) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 007358) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2023-04-25 |