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 |