| NPI | 1346625415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SD 11762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107528) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2022-04-04 |