| NPI | 1194288555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 68352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 695654) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2024-01-09 |