| NPI | 1760735385 |
|---|---|
| Former Name | CAROLINA VICTORIA CERNICICA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A120128) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2017-11-15 |