| NPI | 1356079289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 74887) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32624) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2026-06-01 |