| NPI | 1659543569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 243940) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 231835) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2017-01-26 |