| NPI | 1831541648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 12231956-1205) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP03695) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301112906) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP03695) | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2021-11-18 |