| NPI | 1619238045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A146097) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 277651) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2020-12-01 |