| NPI | 1790703015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 36727) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 36727) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-06-27 |