NPI | 1811250046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD461774) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD461774) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-21 |
Last Update Date | 2019-05-20 |