| NPI | 1306887286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 46849) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD19725) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-02-20 |