| NPI | 1730896499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA786) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL AA786) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL AA786) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL AA786) | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |