| NPI | 1891770459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 46019) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MN 46019) |
| 207R00000X Internal Medicine (Licence: MN 46019) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2024-01-18 |