| NPI | 1457976151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME166898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT221156) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 68464) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-05-19 |