| NPI | 1801461801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 10777) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MO 2021040426) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2022-09-07 |