| NPI | 1861244295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 80303) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 34432) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-08-28 |