| NPI | 1245493311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 53269) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL10962) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2023-06-12 |