| NPI | 1679708796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD449988) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT195340) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195340) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2014-10-15 |