| NPI | 1215058920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301080196) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: MI 4301080196) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4301080196) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301080196) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-08-14 |