| NPI | 1851917090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9469817) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-01-18 |