| NPI | 1295120269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 85450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH Type 39) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2021-09-16 |