| NPI | 1578884227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 0055107) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 54228) |
| 207L00000X Anesthesiology (Licence: MN 54228) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2021-06-21 |