| NPI | 1568810273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MA 289955) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MA 267778) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2022-06-15 |