| NPI | 1114275393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 278101) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 278101) |
| 208800000X Urology (Licence: MA 253549) | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2023-10-05 |