| NPI | 1821877713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 10777) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND R43760) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-12-06 |