| NPI | 1669906715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 122300000X Dentist (Licence: TX 33919) | |
| 122300000X Dentist (Licence: IN 12013553A) | |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2025-11-24 |