| NPI | 1902597693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 287720) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 287720) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-11-29 |