| NPI | 1346227899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 5015363) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD R13170) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0024171682) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5015363) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 9057) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2023-12-14 |