| NPI | 1780131938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA366) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: WI 133) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2023-01-04 |