| NPI | 1891434106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 32698150) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-12 |