| NPI | 1568620086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 57935) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 60245371) |
| 207L00000X Anesthesiology (Licence: MN 57935) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2020-04-02 |