| NPI | 1154778082 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA 1154778082) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT017036) | 
| Enumeration Date | 2016-05-20 | 
| Last Update Date | 2021-09-18 |