| NPI | 1114247848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN MD52842) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD52842) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 165018) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2022-03-29 |