| NPI | 1548569866 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A155867) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 261775) | 
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 261775) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-25 | 
| Last Update Date | 2023-03-21 |