| NPI | 1871816785 |
|---|---|
| Former Name | HEIDI LYN FAGERLUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A11120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A11120) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2012-12-27 |