| NPI | 1255772927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0087566) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 171000000X Military Health Care Provider | |
| 207L00000X Anesthesiology (Licence: VA 0101258117) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2021-06-30 |