| NPI | 1093732760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 51171) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 9713) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-11-02 |