| NPI | 1578057816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 328141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101023856) |
| 208000000X Pediatrics (Licence: MI 5101023856) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-09-26 |