| NPI | 1134508484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 64393) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME129528) |
| 207R00000X Internal Medicine (Licence: MN 64393) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2020-10-07 |