| NPI | 1194866939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S3166) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME135388) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-11-23 |