| NPI | 1033393178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 57354) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101245308) |
| 207Q00000X Family Medicine (Licence: DC 139432) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2020-11-10 |