| NPI | 1053474577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MS 19414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 19214) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2009-06-03 |