| NPI | 1073582268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2010014301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 043942) |
| 207R00000X Internal Medicine (Licence: PA MD434754) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-08-24 |