| NPI | 1346802295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME164909) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4351044588) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351044588) | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2024-07-16 |