| NPI | 1790336006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 10800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 530) |
| 367H00000X Anesthesiologist Assistant (Licence: FL 530) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2023-06-15 |