| NPI | 1578140414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 72291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31564) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2022-08-12 |