| NPI | 1295937696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 55542) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 247343) |
| 207R00000X Internal Medicine (Licence: PA MT190835) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2022-07-21 |