| NPI | 1649664939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 4010) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 61002) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63574) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2022-03-21 |