| NPI | 1982698239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 41671) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MN 41671) |
| 208D00000X General Practice (Licence: MN 41671) | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2021-03-11 |