| NPI | 1932467339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 61751) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN L142178486007) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2021-03-30 |