| NPI | 1053947010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 75854) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO7239) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2025-07-01 |