| NPI | 1306070917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD443809) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT 198183) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2015-04-10 |