| NPI | 1093518896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 83181) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 35276) |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2026-07-13 |