| NPI | 1699267351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA RN215968) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA RN215968) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN215968) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-12-01 |