| NPI | 1962083139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 79870) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 81173) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2025-09-08 |