| NPI | 1306200514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 306579) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 21464) |
| 207L00000X Anesthesiology (Licence: ME MD28343) | |
| 207L00000X Anesthesiology (Licence: NV 21464) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2024-06-28 |