| NPI | 1700044005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101247648) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2009-00484) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 25699538) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2021-04-17 |