| NPI | 1568719052 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 18246) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A128432) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-08-14 | 
| Last Update Date | 2018-09-27 |