NPI | 1942069497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 305688) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 490573) |
363LF0000X Nurse Practitioner, Family (Licence: AZ 305688) | |
Enumeration Date | 2024-03-18 |
Last Update Date | 2025-07-09 |