| NPI | 1235149451 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MT MT7150)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT MT7150)  | 
| Enumeration Date | 2006-08-09 | 
| Last Update Date | 2010-01-28 |