| NPI | 1255518502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 261584-1) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT191379) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2012-10-09 |