| NPI | 1982979373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 77096) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 074267) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: VA 0101273041) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2025-10-06 |