| NPI | 1982288643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2022-02939) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC RTL21-0089) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL21-0089) | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2022-11-15 |