| NPI | 1669728200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 55768) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 106089) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-10-29 |