| NPI | 1336646926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 66425) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 29818) |
| 207R00000X Internal Medicine (Licence: MN 29282) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2020-08-24 |