| NPI | 1508204140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 66599) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ND 932) |
| 208M00000X Hospitalist (Licence: ND PT17707) | |
| 208M00000X Hospitalist (Licence: ND 17707) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2024-04-30 |