| NPI | 1972922045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 12762376-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101264802) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101264802) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-03-15 |