| NPI | 1225448764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 270205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 270205) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 259177) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2021-04-13 |