| NPI | 1699919613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 250710) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2013-00777) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2013-00777) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 250710) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2020-11-27 |