NPI | 1982991964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 57458) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019573) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101019573) | |
207R00000X Internal Medicine (Licence: MN 57458) | |
Enumeration Date | 2011-06-29 |
Last Update Date | 2015-10-30 |