| NPI | 1538109467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 64763) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 30568020) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-12-21 |