NPI | 1275067746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NE 31302) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 31302) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2023-08-11 |