| NPI | 1659719987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 62203) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 62203) |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2022-06-03 |