| NPI | 1124211867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MN 50466) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN n/a) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2022-07-21 |