| NPI | 1922592682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 67912) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 67912) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301114726) | |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2023-09-21 |