| NPI | 1144584822 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 47692)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2012018759)  | 
| Enumeration Date | 2012-06-27 | 
| Last Update Date | 2017-08-15 |