| NPI | 1194131797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 73656) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 60756) |
| 207R00000X Internal Medicine (Licence: MN 60756) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-12-03 |