| NPI | 1841452737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.146895) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301101883) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2022-12-09 |