| NPI | 1427402429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS021417) |
| Additional Taxonomies | 208VP0000X (Licence: PA OS021417) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2025-04-09 |