| NPI | 1720240823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0102203181) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2009-00944) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 150467) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2024-07-01 |