| NPI | 1174865547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS20217) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MB10328200) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2023-08-01 |