| 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 |