| NPI | 1568951531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 73997) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 73997) | |
| 207L00000X Anesthesiology (Licence: CA A176838) | |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2023-08-24 |