| NPI | 1821520859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 282752) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2293774) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-01-23 |