| NPI | 1144450735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 11846) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 57439) |
| 207Q00000X Family Medicine (Licence: SD 8099) | |
| 207Q00000X Family Medicine (Licence: KS 04-34571) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2024-11-08 |