| NPI | 1497962369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01070988A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301089805) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-11-05 |