| NPI | 1053552869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA 13668) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 13688) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2012-10-15 |