| NPI | 1255061289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 74606) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32854) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2023-07-11 |