| NPI | 1841717964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: VT 153) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 135) |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-05-25 |