| NPI | 1114366861 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME137220) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN19212) | 
| Enumeration Date | 2013-06-17 | 
| Last Update Date | 2023-10-04 |