| NPI | 1164042495 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD500003330) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-16 | 
| Last Update Date | 2024-08-08 |