| NPI | 1174152995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 69597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30941) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-07-01 |