NPI | 1376567651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY TP300) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 25625) |
207L00000X Anesthesiology (Licence: ME 018231) | |
207L00000X Anesthesiology (Licence: NH 15774) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2019-06-19 |