| NPI | 1972921567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 61414) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 61414) |
| 208M00000X Hospitalist (Licence: OR MD179533) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 61414) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2024-01-11 |