| NPI | 1629265905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2012-01609) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.013691) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WI 55919) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2021-12-30 |