| NPI | 1871932939 |
|---|---|
| Former Name | CARA LYNN WILTSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 58126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58126) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2019-02-07 |