| NPI | 1366946733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 314670) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64021) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-06-05 |