| NPI | 1417186586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 66987) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 12229) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2024-09-23 |