| NPI | 1790288199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000148) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NM AA2018-001) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2023-09-14 |