| NPI | 1780028530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 15364) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 63506) |
| 208M00000X Hospitalist (Licence: WI 66102-20) | |
| 208M00000X Hospitalist (Licence: MD D88155) | |
| 208M00000X Hospitalist (Licence: MN 63506) | |
| 207Q00000X Family Medicine (Licence: NY 277853) | |
| 208M00000X Hospitalist (Licence: NY 277853) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2025-09-23 |