| NPI | 1538369749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 57065) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232411) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2014-11-10 |