| NPI | 1073947834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 19658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19658) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2019-10-31 |