| NPI | 1164097390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V6096) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX V6096) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2025-12-03 |