| NPI | 1154703270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 37382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209430) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL TRN26067) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2022-03-30 |