| NPI | 1740712918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 310180) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63859) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-11-22 |