| NPI | 1285075325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 65411) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D85986) |
| 207L00000X Anesthesiology (Licence: VA 010257663) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2019-11-14 |