| NPI | 1982183596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000148A) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL 457) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2024-08-09 |