| NPI | 1912224452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WY 11653A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME118893) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2022-08-19 |