| NPI | 1639388192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2008-01075) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 117510) |
| 207L00000X Anesthesiology (Licence: PA MD431908) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-02-09 |