| NPI | 1861137036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 32698159) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX -) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-07-13 |