| NPI | 1568800381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2015-02177) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA10337100) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2019-11-01 |