| NPI | 1508022963 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 61735) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 61735) | 
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 60211) | |
| Enumeration Date | 2008-08-05 | 
| Last Update Date | 2021-03-11 |