| NPI | 1053422097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 52808) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 52808) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MN 52808) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-03-17 |