| NPI | 1235592148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 21431) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA10787800) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 000000) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2021-10-01 |