| NPI | 1063892289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T1250) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0061984) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10053740) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2021-08-24 |