| NPI | 1154765071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301500277) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207L00000X Anesthesiology (Licence: KY 49992) | |
| 207L00000X Anesthesiology (Licence: KY 1154765071) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2019-10-07 |