| NPI | 1578946323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AL 42290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R75312) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2025-06-04 |