| NPI | 1275595811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: OR PA01039) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: OR PA01039) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2012-08-28 |