| NPI | 1114161494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 257546) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 282NC0060X General Acute Care Hospital, Critical Access (Licence: NY 257546) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2010-09-09 |