NPI | 1407401250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.148384) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351044222) |
Enumeration Date | 2019-08-08 |
Last Update Date | 2024-06-04 |