| NPI | 1124046644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine Sports Medicine (Licence: MA 228833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228833) |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MA 228833) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-08-19 |