| NPI | 1902052632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 54720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 54720) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092392) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2020-10-08 |