| NPI | 1396394870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 022717) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 022717) |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2025-08-15 |