NPI | 1114555984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 324211) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 284972) |
Enumeration Date | 2020-03-29 |
Last Update Date | 2025-05-29 |