NPI | 1386180909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PR 019532) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19532) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2019-0857) | |
Enumeration Date | 2017-01-07 |
Last Update Date | 2025-07-10 |