| NPI | 1801588322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NC 789789845) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 789789845) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2024-09-20 |