| NPI | 1487281028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 74141) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL83301) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-07-21 |