| NPI | 1356786354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 53736) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY R3326) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2020-11-13 |