| NPI | 1538355151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 261206-1) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 26566) | |
| 207L00000X Anesthesiology (Licence: PA MD447273) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2015-03-05 |