| NPI | 1568795243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 55403) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 55403) |
| 282N00000X General Acute Care Hospital (Licence: MN 55403) | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2024-04-12 |