| NPI | 1316468978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 57306) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 05291) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2024-08-20 |