| NPI | 1407863202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME126430) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 12808) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-02-07 |