| NPI | 1225390891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 006465) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2020-11-14 |