| NPI | 1629236476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 59062) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 108115) |
| 207L00000X Anesthesiology (Licence: ME MD28164) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2024-05-01 |