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 |