| NPI | 1215156542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q8067) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0070805) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 63674-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036.122514) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2021-07-02 |