| NPI | 1316380942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 68654-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S9001) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2022-07-15 |