NPI | 1578823605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20A16630) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MB09883700) |
207LP2900X Anesthesiology, Pain Medicine (Licence: PA os018674) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-23 |
Last Update Date | 2023-08-18 |