| NPI | 1659631919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 70653) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 56647) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2020-12-04 |