| NPI | 1417073131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101252194) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101252194) |
| 207R00000X Internal Medicine (Licence: OH 57010872) | |
| 207R00000X Internal Medicine (Licence: MI 4301095002) | |
| 207R00000X Internal Medicine (Licence: VA 0101252194) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301095002) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2022-10-05 |