| NPI | 1760860019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A174680) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA ET90084) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 283983) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2022-05-16 |