| NPI | 1902284847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 301685) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 71236) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT024128) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2025-09-22 |