| NPI | 1790340651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 73477) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 73477) |
| 208000000X Pediatrics (Licence: MN 73477) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2023-09-15 |