| NPI | 1033281589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 28293) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 28293) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2017-12-06 |