| NPI | 1407048739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A102507) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A102507) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A102507) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2018-03-27 |