| NPI | 1902250509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2021-01168) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207L00000X Anesthesiology (Licence: NC 2021-01168) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-08-25 |