| NPI | 1467525527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 45399) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: MN 45399) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-06-07 |