| NPI | 1720401524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA188) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: DC AA000041) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2023-06-16 |