| NPI | 1528488236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 73560) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MD467335) |
| 207L00000X Anesthesiology (Licence: PA MD467335) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD467335) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2025-07-24 |