| NPI | 1407919434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 15593) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA18596) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-12-08 |