| NPI | 1629496419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301106097) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 262674) |
| 207R00000X Internal Medicine (Licence: MI 4301106097) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-09-04 |