| NPI | 1396192464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.142128) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35142128) |
| 207L00000X Anesthesiology (Licence: PA MD488189C) | |
| 207L00000X Anesthesiology (Licence: PA FC4848973) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2025-03-31 |