| NPI | 1982165569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1018933) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.254930) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207L00000X Anesthesiology (Licence: IL 125073697) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-11-16 |