| NPI | 1811024250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 54926) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 54926) |
| 207L00000X Anesthesiology (Licence: MA 245661) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-09-29 |