| NPI | 1952753113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 4012) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: DC AA000069) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2022-01-27 |