| NPI | 1528441953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 70517) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD186311) |
| 207Q00000X Family Medicine (Licence: MA 264673) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2024-03-27 |