| 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 |