NPI | 1336713528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MN 79340) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2021015917) |
Enumeration Date | 2021-05-13 |
Last Update Date | 2025-09-08 |