| NPI | 1821007980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 33132) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 33132) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-07-08 |