| NPI | 1033439187 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101250615)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116022536)  | 
| Enumeration Date | 2010-06-10 | 
| Last Update Date | 2014-05-07 |