| NPI | 1902250822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 0000056944) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207L00000X Anesthesiology (Licence: NC 2022-00658) | |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2022-06-16 |