| NPI | 1104026558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA C159832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50971) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35122056) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-08-06 |