| NPI | 1891951570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 50308) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125053809) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125053809) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2018-03-17 |