| NPI | 1700094752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 67805) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101241167) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101241167) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-11-20 |