NPI | 1407319981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX V7004) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 292813) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2025-07-31 |