| NPI | 1891362166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL A688) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MO 2021034807) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-04-03 |