| NPI | 1235620519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME161698) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA11378300) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2023-08-11 |