| NPI | 1205416799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AL 1-162468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 317127) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2024-02-28 |