| NPI | 1720510746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 290074) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 290074) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-02-15 |