| NPI | 1871503565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CA 14652) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CA 1750318127) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 9648) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-01-18 |