| NPI | 1720345960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD459931) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD459931) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2017-04-03 |