| NPI | 1386692879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 52298) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 1563) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 49595) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-12-04 |