| NPI | 1891966529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 242795) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 390200000X) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2014-05-22 |