| NPI | 1417489261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 69129) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 71999) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2021-06-14 |