| NPI | 1629249511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101286009) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2009-02114) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 134473) | |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2025-07-31 |