| NPI | 1710400478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL AA417) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2021-04-06 |