| NPI | 1649310426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 63242) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 063242) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207L00000X Anesthesiology (Licence: MD D0069966) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2012-03-14 |