| NPI | 1144019977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 83021) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 35185) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2026-08-12 |