| NPI | 1295355279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 73723) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1919) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2023-08-23 |