| NPI | 1922184035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 32692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32692) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 32692) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2013-02-15 |