| NPI | 1396132502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA12277600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA 60950345) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2025-04-29 |