NPI | 1710029483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 49420) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 49420) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2018-04-26 |