| NPI | 1841610714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME DO2956) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0102205171) |
| 207R00000X Internal Medicine (Licence: OH 58.005415) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2020-06-28 |