| NPI | 1043522592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 54205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO2387) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT014933) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2015-06-08 |