| NPI | 1063875136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 15953) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 20A15953) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2026-04-28 |