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 |