| NPI | 1750762324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 60870) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 7417) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-05-28 |