| NPI | 1336592633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 74343) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL14238) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2024-06-25 |