| NPI | 1134446792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME124748) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 258581) |
| 207L00000X Anesthesiology (Licence: PA MT196755) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME124748) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 258581) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT196755) | |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2025-02-03 |