| NPI | 1770243016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NC 2000-00006) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 75000096A) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2026-01-12 |