| NPI | 1528529583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME168991) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 24811) |
| 207L00000X Anesthesiology (Licence: MN 68069) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH R4208) | |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2024-11-08 |