| NPI | 1912218066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 72616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 54627) |
| 207R00000X Internal Medicine (Licence: SC 36193) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2023-02-09 |