| NPI | 1457542243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA 019953E) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA 019953E) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |