| NPI | 1124656277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 83397-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 69560) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 83397-20) | |
| 207R00000X Internal Medicine (Licence: MN 30888) | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-08-22 |