| NPI | 1235659525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 74140) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2021041327) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-06-05 |