| NPI | 1104093178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101251834) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 26731) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2021-03-24 |