NPI | 1013233428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD60663355) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60663355) |
390200000X Student in an Organized Health Care Education/Training Program | |
207L00000X Anesthesiology (Licence: WV 25017) | |
Enumeration Date | 2010-04-09 |
Last Update Date | 2023-02-09 |