| NPI | 1902517915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 9953) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 9953) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2023-12-21 |