| NPI | 1891466793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA696) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 32698032) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-11-01 |