NPI | 1336430180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 55903) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA DO-04618) |
Enumeration Date | 2011-04-27 |
Last Update Date | 2020-09-17 |