| NPI | 1619728995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2025025325) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2025025325) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2025-06-27 |