| NPI | 1366672578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-60571) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 60571) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MT 60571) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WY 10402A) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2021-05-03 |