| NPI | 1548581861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 5315062939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT113770) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2015-07-07 |