| NPI | 1336465053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ND 13184) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207L00000X Anesthesiology (Licence: MN 105564) | |
| 207L00000X Anesthesiology (Licence: MN 54392) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2018-09-28 |