| NPI | 1306882964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD150905) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 51539-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-10-15 |