| NPI | 1326428475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 62917) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD186675) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-11-07 |