| NPI | 1215023353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 74894) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 13684) |
| 207L00000X Anesthesiology (Licence: IA MD-42556) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-08-25 |