| NPI | 1245623123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 16813) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 6634032) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2022-09-02 |