NPI | 1154687671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 58553) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MN 58553) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2020-11-10 |