NPI | 1326603598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MB11950600) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 244202) |
Enumeration Date | 2019-05-03 |
Last Update Date | 2024-06-03 |