NPI | 1174012033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 22296) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 22296) |
208D00000X General Practice (Licence: PR 34848) | |
Enumeration Date | 2018-05-07 |
Last Update Date | 2025-06-23 |