| NPI | 1245299809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 64858) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD208253) |
| 207L00000X Anesthesiology (Licence: TX K5276) | |
| 207L00000X Anesthesiology (Licence: WI 56231) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2022-01-25 |