| NPI | 1023251253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 57643) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 032.0092935) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WA OP60481258) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2022-07-21 |