| NPI | 1659527356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 67415) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101019072) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2020-10-01 |