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 |