| NPI | 1609495506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OT020062) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-08-10 |