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 |