| NPI | 1114458411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 281661) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63844) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2021-05-07 |