| NPI | 1972820686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A119998) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A119998) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2019-11-07 |