| NPI | 1750543534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 61043) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R 8477) |
| 207L00000X Anesthesiology (Licence: IA 40369) | |
| 207L00000X Anesthesiology (Licence: SC 35513) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-07-21 |