| NPI | 1972180305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 72028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31587) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2022-07-21 |