| NPI | 1912510124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA621) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 32697719) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-12-29 |