| NPI | 1790712941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0017000386) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 001700386) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-03-07 |