| NPI | 1720474299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 37542) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0088509) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2022-01-26 |