| NPI | 1811105422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P4950) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101239464) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101239464) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-12 |