| NPI | 1558764571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 5839) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 5839) |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2024-10-31 |