| NPI | 1487073334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MI 4301105921) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301105921) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-03-30 |