| NPI | 1780867622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME115801) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N1748) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2022-07-21 |