| NPI | 1053758458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 15815) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 292062) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2020-10-07 |