| NPI | 1558620179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301100359) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME143371) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2020-07-31 |