| NPI | 1740910512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 13238) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL 770) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2025-11-11 |