| NPI | 1902037385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME123677) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57-015872) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN17273) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2015-08-18 |