| NPI | 1982376323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 26898) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2023-07-17 |