| NPI | 1457556144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 53777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 53777) |
| 208000000X Pediatrics (Licence: MN 53777) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2015-10-30 |