| NPI | 1841786563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA639) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 9074) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2021-05-06 |