| NPI | 1356784268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CT 60096) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT213339) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD46157) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MT213339) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2018-04-26 |