| NPI | 1467737924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 336.098608) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125059309) |
| 207L00000X Anesthesiology (Licence: TX p4821) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2015-08-25 |