| NPI | 1639756554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 72694) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 72694) |
| 207R00000X Internal Medicine (Licence: MN 31624) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-07-15 |