| NPI | 1811200777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD454774) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 279561) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2021-10-07 |