NPI | 1851786420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 87539) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2020-02780) |
207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2020-02780) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2025-04-07 |