| NPI | 1639306806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 51379) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A131536) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2018-06-13 |