| NPI | 1295231942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 338711) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: LA 338711) |
| 207R00000X Internal Medicine (Licence: LA 338711) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-01-02 |