| NPI | 1861989832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 64131) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 64131) |
| 207Q00000X Family Medicine (Licence: WA MD60913775) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2025-02-22 |