| NPI | 1114242468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 257941) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 123082) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2021-12-17 |