| NPI | 1851147995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NC 2000-00028) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 13328) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2025-08-20 |