| NPI | 1093243941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 64367) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 64367) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2022-07-21 |