| NPI | 1528565751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U1350) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.072633) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 291196) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2023-09-22 |