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 |