| NPI | 1871565713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 45589) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 45589) |
| Enumeration Date | 2006-02-04 |
| Last Update Date | 2022-05-02 |