| NPI | 1205807526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 50017) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 23888) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2025-07-30 |