| NPI | 1720320708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY R3167) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 336107513) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 390200000) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2021-02-09 |