| NPI | 1891323499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 72035) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 31684) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-11-21 |