| NPI | 1851676381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA143) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MO PENDING) |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2024-01-31 |