| NPI | 1407153257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME108638) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT190557) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT190557) | |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-08-05 |