| NPI | 1831869544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 10604) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 10604) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-12-06 |