| NPI | 1770246548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000208) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: WI 194-17) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2023-05-02 |