| NPI | 1902467764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME168458) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD480461) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-10-03 |