NPI | 1932605854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: PA OS022920) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207L00000X Anesthesiology (Licence: NY 317270) | |
207LC0200X Anesthesiology Critical Care Medicine (Licence: NJ 25MB11820200) | |
Enumeration Date | 2018-03-30 |
Last Update Date | 2023-07-05 |