| NPI | 1275316507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA PA66521) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA66521) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2025-09-09 |