| NPI | 1801516059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000240) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 13702) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2026-03-12 |