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 |