| NPI | 1275650517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2019-0974) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 042-0011744) |
| 207L00000X Anesthesiology (Licence: NH 13976) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VT 060-0003303) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-06-19 |