| NPI | 1982803300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 51463) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 103883) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-08-04 |