| NPI | 1003264110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T0220) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME144492) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2021-09-09 |