| NPI | 1730709288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1019681) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 57.249202) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2025-08-01 |