| NPI | 1457098378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 74737) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 32590) |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2024-04-11 |