| NPI | 1871361642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2024001179) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-01-17 |