| NPI | 1780676262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4704393100) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM CNP01405) |
| 363L00000X Nurse Practitioner (Licence: MI 4704393100) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM R61595) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2022-06-27 |