NPI | 1649680687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME155276) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NJ 25MA10588400) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MT216254) | |
Enumeration Date | 2014-04-29 |
Last Update Date | 2022-07-07 |