| NPI | 1518127034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 22181) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MA 237459) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 237459) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2015-06-30 |