| NPI | 1912572041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: WI 192) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MO 2024046707) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-12-13 |