| NPI | 1184897357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: IL 036116092) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WI 51511) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2023-10-16 |