| NPI | 1184392649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 200276) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 200276) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-05-01 |