NPI | 1952495335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NM R46896) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NM CNP01142) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2023-06-08 |