| NPI | 1104091834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 55631) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 55631) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2024-04-30 |