| NPI | 1013237916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2015-00730) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 51542) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 165137) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2015-08-18 |