| NPI | 1518552090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014180) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 5014180) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC REAR-Z5J8E) | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-07-06 |