| NPI | 1275995573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 22071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 22071) |
| 208D00000X General Practice (Licence: PR 22071) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2021-10-19 |