| NPI | 1861104523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 11363) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 32698351) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 32698351) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2024-04-15 |