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Individual provider · Family Medicine Physician · Sioux City, IA

NPI

1144019944

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

R-13379 (IA)

Sex

Female

Sole proprietor

No

Enumerated

2025-05-06

Last updated

2025-09-23