| NPI | 1407206055 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A188488)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 309002-1)  | 
| 207L00000X Anesthesiology (Licence: PA MD476696)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-14 | 
| Last Update Date | 2023-09-29 |