| NPI | 1346733003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 82324) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-09568) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2026-07-21 |