| NPI | 1760740120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME136988) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 266931) |
| 207L00000X Anesthesiology (Licence: CA A147278) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2018-08-29 |