| NPI | 1790027126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R6891) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125063870) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2020-09-23 |