NPI | 1609405828 |
---|---|
Former Name | GENEVIEVE KAIJA POURZAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61608561) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-08 |
Last Update Date | 2024-11-18 |