| NPI | 1356067516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: AZ 282712) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 282712) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ 282712) | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-11-29 |