| NPI | 1417255191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ND 14701) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS018103) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ND 14701) | |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2022-10-14 |