| NPI | 1467422790 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 14852)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: OK 14852)  | 
| Enumeration Date | 2006-01-26 | 
| Last Update Date | 2012-11-07 |