| NPI | 1083879928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 50958) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 41080) |
| 207L00000X Anesthesiology (Licence: OR MD166703) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2022-05-02 |