| NPI | 1467815811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA OP61145093) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101024582) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2021-07-06 |