| NPI | 1609309434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 77365) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 72286-20) |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2024-08-12 |