| NPI | 1952972408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000180) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 75000085A) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2022-09-21 |