| NPI | 1184174559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL APRN9229925) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL APRN11024391) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2024-06-28 |