| NPI | 1215127261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 14047) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: PR 14047) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2016-08-19 |