| NPI | 1073977195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 61272) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 28163) |
| 207L00000X Anesthesiology (Licence: MN 62779) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2021-01-21 |