| NPI | 1982281234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: MN 71938) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 71938) |
| 207R00000X Internal Medicine (Licence: MN 31566) | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-06-18 |