| NPI | 1639304751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A142283) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT195297) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195297) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2021-12-21 |