| NPI | 1801351705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX W5934) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX W5934) | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2026-09-23 |