| NPI | 1720467319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S7828) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX S7828) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0007961) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2020-09-01 |