| NPI | 1780370452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA893) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 13394) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2025-11-11 |