| NPI | 1710357553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 007756) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 7756) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2023-09-22 |