| NPI | 1346218971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 31998) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 31998) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-04-17 |