| NPI | 1194222125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NM 2023-0092) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM DO2023-0092) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2023-08-23 |