| NPI | 1528693520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 9292) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 57672) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-07-27 |