| NPI | 1487033460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 4969-320) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 57254) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2024-10-17 |