| NPI | 1730282518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 45750) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD26128) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-12-11 |