| NPI | 1316385933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 60139) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R9640) |
| 208M00000X Hospitalist (Licence: WI 65393-20) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2019-02-07 |