| NPI | 1861978488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 66488) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29125) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2024-01-19 |