| NPI | 1700152741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.122556) |
| 208000000X Pediatrics (Licence: OH 35.122556) | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2022-01-11 |