| NPI | 1770045114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 79842) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MN 79842) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2025-12-30 |