| NPI | 1700311735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 7186520) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 7412851) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 71865-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2023-05-14 |