| NPI | 1134156359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 44929) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: MN 44929) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-02-07 |