| NPI | 1053731208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036164059) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101271044) |
| 207L00000X Anesthesiology (Licence: NC 2018-00678) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2024-02-19 |