| NPI | 1972915783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101264273) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0116029055) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2020-02-26 |