| NPI | 1346208964 |
|---|---|
| Former Name | MARYANNE SKAVDAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 26205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 227669) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2011-08-21 |