| NPI | 1609060466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 56982) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 107177) |
| 207R00000X Internal Medicine (Licence: IL 036119261) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2020-11-09 |