| NPI | 1992095731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 76842) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OT014016) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT014016) | |
| 207L00000X Anesthesiology (Licence: NY 278308-1) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2022-04-20 |