| NPI | 1790401479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL PA9116575) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9116575) |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2024-05-01 |