| NPI | 1982968251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD044342) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0090734) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT202524) | |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2022-09-28 |