| NPI | 1144900374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 273148) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 273148) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2024-11-06 |