| NPI | 1750169256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000338) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NC 2000-00017) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2026-07-22 |