| NPI | 1477760304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA SP-190) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 116018821) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IA SP-190) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-07-01 |