| NPI | 1104313873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 65911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29309) |
| 207L00000X Anesthesiology (Licence: MN 29309) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2020-08-27 |