| NPI | 1376328104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 296547) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 296547) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-11-29 |