| NPI | 1861217143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000278) |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2025-01-20 |