| NPI | 1346560034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 60354) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: WI 66589-20) | |
| 207Q00000X Family Medicine (Licence: ME MD19823) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2019-05-10 |